Adaptation and validation of the chronic illness-related shame scale among patients with knee osteoarthritis in Singapore

Abstract Background Osteoarthritis (OA) of the knee is one of the most common and disabling conditions worldwide. A neglected aspect of knee OA is its psychosocial impact, such as shame. However, assessment tools to measure shame among patients diagnosed with knee OA are lacking. In this study, the...

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Main Authors: Jia Ying Yeo, Chien Joo Lim, Bryan Yijia Tan
Format: Article
Language:English
Published: BMC 2023-08-01
Series:BMC Musculoskeletal Disorders
Subjects:
Online Access:https://doi.org/10.1186/s12891-023-06707-0
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author Jia Ying Yeo
Chien Joo Lim
Bryan Yijia Tan
author_facet Jia Ying Yeo
Chien Joo Lim
Bryan Yijia Tan
author_sort Jia Ying Yeo
collection DOAJ
description Abstract Background Osteoarthritis (OA) of the knee is one of the most common and disabling conditions worldwide. A neglected aspect of knee OA is its psychosocial impact, such as shame. However, assessment tools to measure shame among patients diagnosed with knee OA are lacking. In this study, the psychometric properties of the Chronic Illness-related Shame Scale (CISS) were evaluated among knee OA patients in Singapore. Methods Adaptations were made to CISS for use among the knee OA population. An exploratory factor analysis (EFA) was performed to analyze the factor structure. Cronbach’s Alpha and corrected item-total correlations were used to evaluate the internal consistency. Spearman correlation coefficient was used to test the correlation between CISS and Patient Health Questionnaire-4 (PHQ-4) to determine the validity of the instrument. Results The EFA yielded a one-factor structure, with an eigenvalue of 4.78 explaining 68.25% of variance. Cronbach Alpha was 0.92, which indicated good internal consistency. The Spearman correlation revealed a significant correlation between CISS and PHQ-4. Conclusions The adapted CISS is a valid and reliable instrument to measure shame for knee OA patients. Both research and clinical settings can benefit from the use of the adapted CISS for assessing shame among knee OA patients.
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spelling doaj.art-0ae80392cb9741088a3fd0560775ba362023-11-26T12:07:54ZengBMCBMC Musculoskeletal Disorders1471-24742023-08-012411810.1186/s12891-023-06707-0Adaptation and validation of the chronic illness-related shame scale among patients with knee osteoarthritis in SingaporeJia Ying Yeo0Chien Joo Lim1Bryan Yijia Tan2Department of Rehabilitation Services, Yishun Health, National Healthcare GroupDepartment of Orthopedic Surgery, Woodlands Health, National Healthcare GroupDepartment of Orthopedic Surgery, Woodlands Health, National Healthcare GroupAbstract Background Osteoarthritis (OA) of the knee is one of the most common and disabling conditions worldwide. A neglected aspect of knee OA is its psychosocial impact, such as shame. However, assessment tools to measure shame among patients diagnosed with knee OA are lacking. In this study, the psychometric properties of the Chronic Illness-related Shame Scale (CISS) were evaluated among knee OA patients in Singapore. Methods Adaptations were made to CISS for use among the knee OA population. An exploratory factor analysis (EFA) was performed to analyze the factor structure. Cronbach’s Alpha and corrected item-total correlations were used to evaluate the internal consistency. Spearman correlation coefficient was used to test the correlation between CISS and Patient Health Questionnaire-4 (PHQ-4) to determine the validity of the instrument. Results The EFA yielded a one-factor structure, with an eigenvalue of 4.78 explaining 68.25% of variance. Cronbach Alpha was 0.92, which indicated good internal consistency. The Spearman correlation revealed a significant correlation between CISS and PHQ-4. Conclusions The adapted CISS is a valid and reliable instrument to measure shame for knee OA patients. Both research and clinical settings can benefit from the use of the adapted CISS for assessing shame among knee OA patients.https://doi.org/10.1186/s12891-023-06707-0Chronic illness shameValidationSingaporeKnee osteoarthritis
spellingShingle Jia Ying Yeo
Chien Joo Lim
Bryan Yijia Tan
Adaptation and validation of the chronic illness-related shame scale among patients with knee osteoarthritis in Singapore
BMC Musculoskeletal Disorders
Chronic illness shame
Validation
Singapore
Knee osteoarthritis
title Adaptation and validation of the chronic illness-related shame scale among patients with knee osteoarthritis in Singapore
title_full Adaptation and validation of the chronic illness-related shame scale among patients with knee osteoarthritis in Singapore
title_fullStr Adaptation and validation of the chronic illness-related shame scale among patients with knee osteoarthritis in Singapore
title_full_unstemmed Adaptation and validation of the chronic illness-related shame scale among patients with knee osteoarthritis in Singapore
title_short Adaptation and validation of the chronic illness-related shame scale among patients with knee osteoarthritis in Singapore
title_sort adaptation and validation of the chronic illness related shame scale among patients with knee osteoarthritis in singapore
topic Chronic illness shame
Validation
Singapore
Knee osteoarthritis
url https://doi.org/10.1186/s12891-023-06707-0
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AT bryanyijiatan adaptationandvalidationofthechronicillnessrelatedshamescaleamongpatientswithkneeosteoarthritisinsingapore